Monday 16 April 2012

Clinical evaluation of root canal treatment

Root canal treatment and other dental treatment: many steps do not look straight, so the teeth should be combined with preoperative anatomical characteristics of the X-ray dental film on the teeth for further understanding. Due to some residual root and crown or dead dental pulp, due to their own conditions actions, the anatomical structure of the pulp cavity of caries and other reasons caused by the root canal orifice occlusion, root canal calcification obstruction and other issues, but through the selection of the proper root canal treatment equipment and proper operation, after treatment can get good results.

Evaluation Criteria:

Success: 1. Symptoms: discomfort, normal chewing function, treatment outcomes, process, function of teeth, shape satisfaction. Two. x-chip: the periodontal ligament space was normal or mildly thickened, the original apical lesions shrink or disappear: the root tip is not fully developed, and gradually formed after 3-6 months; root canal root filling material from the apical 0.5- 2.Omm.3 clinical examination: percussion pain, no sinus or sinus closed within 1-2 weeks after treatment.

Failure: does not meet any of these items

Cases: clinical experience detectors occlusal surface the hidden cracks throughout the central west and ends near the proximal.

Treatment: reduce occlusion and use the wind in the pines open medullary car needle after opening the chamber, use a handle to pull the marrow needle for the marrow dental supplies extraction in iEndo After local anesthesia, then use iEndo needle and flexibility to expand the file in root canal preparation to 40 #, disinfection medicine one week closure after root canal filling. Two months after operation without exception. Line the upper left 5 * 7 porcelain bridge repair.

Wind in the pines 248 marrow bur special design, the ball diamond at the top of the unique round and flat, the unique top of the holes is easy to dentin debris generated when opening the chamber to the discharge canal to reduce the medullary cavity pressure, improve on the marrow, work efficiency,

Case II: patients with upper left of the occlusal surface and distal surface of silver mercury filling, photo X-rays showed apical shadow.

Treatment: After local anesthesia, opening the chamber, the iEndo needles and flexibility to enlarge the file will be root canal preparation to 30 #, disinfection medicament week after root canal filling. 2 weeks after root canal no abnormal discomfort, and total crown. Flexibility to enlarge the file in the teeth than the curved root canal preparation process reflects better than the nickel-titanium root pipe file, just toughness and cutting ability, efficiency is greatly improved so that after the root canal preparation.

Case: The patient has to come to treatment, complained of the top left of the original filling off, check the upper left far in filling off and indicates the apical shadow.

Treatment: removal of dry capping agents, the use of the probe tip to find the root canal orifice mummification treatment, because patients with more than ten years, has been partially calcified root canal orifice, use a # 10 nickel titanium to expand slowly Characteristic dental implant explore the root canal to the apical holes, temporarily closed after washing disinfection of root canal, has asked one week after treatment.

Calcified root canal or a special curved root canal preparation using nickel-titanium expand the path of a needle to find the root canal to prevent the fracture of endodontic instruments and followed iEndo flexibility to enlarge the file will be root canal preparation to the required number, can significantly improve efficiency.

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